MACON COUNTY MEDICAL CENTER, INC (NPI# 1164574885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164574885 |
Entity Type | Organization |
Organization Name | MACON COUNTY MEDICAL CENTER, INC |
Other Organization Name | FLINT RIVER CLINIC AT BUTLER |
Practice Address |
80 West Main Street Ste B Butler GA 31006-5156 |
Mailing Address |
80 West Main St. Ste B Butler GA 31006-5156 |
Practice Telephone | 4788623879 |
Mailing Telephone | 4788623879 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2008-07-11 |
Authorized Official Name | MRS. LAURIE HAIR (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4784723244 |
Authorized Official Credential | CFO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 087221830A | 05 |
Other Name | Type Code |
---|---|
Flint River Clinic at Butler | Doing Business As Name - Organization |
Street Address |
80 WEST MAIN STREET STE B |
City | BUTLER |
State | GA |
Zip Code | 31006-5156 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
1639297229 | New Horizons Management, Inc | Assisted Living Facility | 19 Hillcrest Circle, Butler, GA 31006 | 2007-03-26 |
1184774499 | Scott Albert Niette | Dentist | 43 South Broad Street, Butler, GA 31006 | 2007-01-11 |
1962593541 | Commissioners of Roads and Revenues Taylor County | Ambulance | 1 Court Square, Butler, GA 31006 | 2006-09-27 |
1871604355 | Julie Oliver | Physician Assistant | 80 West Main St., Butler, GA 31006 | 2006-08-31 |
1144333915 | Smith's Pharmacy | Pharmacy | 10 North Poplar St, Butler, GA 31006 | 2006-08-16 |
1902833965 | Taylor County Board of Health | Public Health or Welfare | Highway 137 West, Butler, GA 31006 | 2006-06-27 |
1003395690 | Brandi Michelle St. John | Nurse Practitioner | 80 W Main St, Butler, GA 31006 | 2018-08-14 |
1316065915 | New Horizons Management, Inc | Assisted Living Facility | 19 Hillcrest Circle, Butler, GA 31006 | 2007-03-26 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1770536740 | Bates County Memorial Hospital | Clinic/Center | 615 W Nursery St, Butler, MO 64730-1840 | 2006-05-18 |
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1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.